cmcgarry
Guest
I just need to vent about United Healthcare/Medica. Maternity patient sees one of our OB/GYN docs; she also has Factor V Leiden (289.81), so when hospitalized for delivery, our Hematologist/Oncologist sees her to manage that problem. Different specialty, but same Tax ID. Claim denied as part of the global OB. One of the follow up girls calls Medica and is told that it doesn't matter that the doc is a different specialty; if we want it paid, we would need to resubmit with a 24 modifier. I thought that the customer service person she spoke to must have been mistaken - shouldn't need that if a different specialty, right? I called myself, got tranferred up the line - and the only way this will be paid is with the 24 - even though they know it's a different specialty. So I am having her add the modifier and resubmit - but it just burns me to do so - and I used to work for insurance companies (more than one)!! AARGH!!!![Roll eyes :rolleyes: :rolleyes:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)